How America is failing its rural hospitals

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This pin represents St. Mark's Hospital in Texas. Starting in 2020, the hospital struggled to pay its mortgage debt. In February 2023, the hospital board voted to shutter inpatient services, meaning overnight care, and cut nearly half the staff. It wasn't enough. By October 2023, the entire hospital shut down.

Now, when EMS responds to a 911 call in the area, they're now forced to pick up that patient and either drive them an hour to an hour and 15 minutes into Austin or another 30 minutes or so to come down to Columbus or another 30 minutes to come down to Halitzville.

This story is becoming increasingly common in small towns across the United States. It's being called the rural hospital crisis and experts warn it's about to get much worse with some states like Texas at risk of losing nearly half of all small town hospitals in the near future.

Small rural communities the hospital is the health care system and so if the hospital closes the patients basically can lose access to all health care. So why are so many rural hospitals

in the US shutting down and what does it really mean for these communities?